Emma Sullivan, is a
Registered Nurse - General Practice based in Walling, Tennessee. Emma Sullivan is licensed to practice in Tennessee (license number 219387) and her current practice location is
397 Copper Head Blf, Walling, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(931) 703-3930.
NPI number for Emma Sullivan is 1104751981 and her current mailing address is 397 Copper Head Blf, Walling, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104751981.
Provider's Profile
| Full Name | Emma Sullivan |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse - General Practice |
|---|
| Location | 397 Copper Head Blf, Walling, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104751981
- Provider Enumeration Date: 06/15/2026
- Last Update Date: 06/15/2026
Medical Identifiers
Medical identifiers for Emma Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1104751981 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163WG0000X | Registered Nurse - General Practice | 219387 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Emma Sullivan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Emma Sullivan, 397 Copper Head Blf, Walling, TN 38587-2100 Ph: (931) 703-3930 | Emma Sullivan, 397 Copper Head Blf, Walling, TN 38587-2100 Ph: (931) 703-3930 |
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